KELLI M WARD D.O.
NPI 1104867308
Family Medicine in Lake Havasu City, AZ

Active since June 09, 2006
2090 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403(928) 854-1800(928) 854-1847 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli M Ward D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI M WARD D.O. (NPI 1104867308) is an individual family medicine provider in Lake Havasu City, Arizona, licensed in Arizona (3425) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104867308
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLI M WARDCredential: D.O.
Location Address2090 SMOKETREE AVE NLake Havasu City, AZ 86403-5806
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 213-6100 · Fax (928) 774-6687
Fax(928) 854-1847
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 18, 2010
NPI 1104867308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 3425
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2090 SMOKETREE AVE N, Lake Havasu City, AZ 86403

Other Identifiers 2

Medicaid470724AZ
Medicare UPING96720AZ

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Pediatrics
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Dental Hygienist
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Physician Assistant
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Family Medicine
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Federally Qualified Health Center (FQHC))
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Counselor (Mental Health)
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403
Nurse Practitioner (Family)
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Ward's NPI number?

The NPI number for Kelli Ward is 1104867308. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kelli Ward located?

Kelli Ward practices at 2090 Smoketree Ave N, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-1800.

What is Kelli Ward's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kelli Ward was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.